FLACS术中PI操作的影响因素分析

Analysis of the influencing factors of interface operation in femtosecond laser assisted cataract surgery

摘要:

目的：探讨飞秒激光辅助的白内障手术(femtosecond laser assisted cataract sugery，FLACS)过程中浸润式患者接口(patient interface，PI)操作的影响因素。

方法：选取2016-03/2017-10于我院行FLACS手术中PI操作过程中发生不良个案的患者44例44眼，进行问卷调查，分析其相关影响因素。

结果：FLACS术中影响PI操作进程及安全性的因素包括患者的情绪、舒适度、环境等因素，其中患者的情绪为主要影响因素。本组患者状态焦虑症状阳性检出率为73%，以轻、中度状态焦虑为主，且无性别差异； PI操作过程中患者的舒适率为89%，满意率为96%。

结论：FLACS术中患者的情绪、舒适度、环境因素等均可能影响PI操作的进程和安全性，可通过实施有效的护理和管理措施提高患者手术配合度和舒适度、减少术中并发症。

Abstract:

AIM: To discuss the influencing factors of interface operation in femtosecond laser assisted cataract surgery(FLACS).

METHODS: From March 2016 to October 2017, 44 patients(44 eyes)were enrolled in this study who had adverse cases occurred in interface operation in femtosecond laser assisted cataract surgery. A questionnaire survey was conducted to find out the relevant factors.

RESULTS: The patient's emotion, comfort and external environment can influence the process and safety of interface operation in femtosecond laser assisted cataract surgery. The positive detection rate of patients with state anxiety was 73%, with mild and moderate status anxiety, among which there was no statistical difference between male and female state(P>0.05). The patient's comfort level was 89% and the satisfaction rate was 96%.

CONCLUSION: The emotional, comfort, and environmental factors of patients in femtosecond laser assisted cataract surgery may affect the process and safety of interface operations, effective nursing and management measures can be implemented to improve patient surgical coordination and comfort, and reduce intraoperative complications.